Individual
DR. JESSIELYNN AVILA
Active
Individual
DR. JESSIELYNN AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT26138
FL
252Y00000X
Early Intervention Provider Agency
PT26138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003271100
—
FL
Enumeration date
01/03/2011
Last updated
03/02/2026
Update your record
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